Individual provider Active NPI

Tal Yonai, PH.D.

  • Clinical Psychologist
  • Waldwick, NJ
National Provider Identifier
1548565997
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00482500 Issued in NJ
Practice address
71 Franklin Tpke Ste 1-2
Waldwick, NJ 07463-1800
Phone
(201) 739-9990
NPI assigned
Jan 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00482500 NJ Primary

Addresses

Primary practice location

71 Franklin Tpke Ste 1-2
Waldwick, NJ 07463-1800

Mailing address

48 Barrett LN
Wyckoff, NJ 07481-3410
Phone (917) 747-0736

Other practice location 1

48 Barrett Ln
Wyckoff, NJ 07481-3410
Phone (917) 747-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2025 through Feb 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00482500NJMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1548565997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BARRETT LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813410",
            "telephone_number": "917-747-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 1-2",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631800",
            "telephone_number": "201-739-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Barrett Ln",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074813410",
            "country_code": "US",
            "telephone_number": "917-747-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YONAI",
        "first_name": "TAL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-17",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00482500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.